La. Admin. Code tit. 48 § I-6269

Current through Register Vol. 50, No. 9, September 20, 2024

Section I-6269 - Client Services

A. The TGH shall ensure services in the following areas to meet the specialized needs of the client:

1. psychological and psychiatric services;

2. physical and occupational therapy;

3. speech pathology and audiology; and

4. other medical and dental services as needed.

B. The TGH is required to provide at least 16 hours of active treatment per week to each client. This treatment shall be provided and/or monitored by qualified staff.

C. The TGH shall have a written plan for insuring that a range of daily indoor and outdoor recreational and leisure opportunities are provided for clients. Such opportunities shall be based on both the individual interests and needs of the client and the composition of the living group.

1. The provider shall be adequately staffed and have appropriate recreation spaces and facilities accessible to clients.

2. Any restrictions of recreational and leisure opportunities shall be specifically described in the treatment plan, together with the reasons such restrictions are necessary and the extent and duration of such restrictions.

D. The TGH shall have a program to ensure that clients receive training in independent living skills appropriate to their age and functioning level. This program shall include instruction in:

1. hygiene and grooming;

2. laundry and maintenance of clothing;

3. appropriate social skills;

4. housekeeping;

5. budgeting and shopping;

6. cooking; and

7. punctuality, attendance, and other employment related matters.

E. The TGH shall have a written description regarding the involvement of the client in work including:

1. the description of any unpaid tasks required of the client;

2. the description of any paid work assignments including the pay scales for such assignments;

3. the description of the provider's approach to supervising work assignments;

4. assurance that the conditions and compensation of such work are in compliance with applicable state and federal laws; and

5. all work assignments shall be in accordance with the client's treatment plan.

F. The provider shall assign as unpaid work for the client only housekeeping tasks similar to those performed in a normal family home. Any other work assigned shall be compensated at a rate and under such conditions as the client might reasonably be expected to receive for similar work in outside employment.

G. When a client engages in off-grounds work, the provider shall maintain written documentation that:

1. such work is voluntary and in accordance with the client's treatment plan;

2. the clinical director approves such work;

3. such work is supervised by qualified personnel; and

4. the conditions and compensation of such work are in compliance with applicable state and federal laws;

La. Admin. Code tit. 48, § I-6269

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 38:419 (February 2012), Amended LR 411295 (7/1/2015).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and RS. 40:2009.